Individual provider · Type 1 NPI

Carolina D. Los Angeles Sprague, RN

Community Health Registered Nurse · Conway, SC

NPI number 1457201659 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Fax (843) 347-4102

Mailing address

319 Augusta Green Way
Myrtle Beach, SC 29579-7164

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X281945 (SC)

Community Health Registered Nurse: Definition to come...

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About NPI 1457201659

Carolina D. Los Angeles Sprague, RN's National Provider Identifier is 1457201659, issued on Jan 29, 2026. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Conway, SC. The record was last updated on Jan 29, 2026.